Michel-Schuldt Michaela, Billy Dayon Matilda, Toft Klar Robin, Subah Marion, King-Lincoln Esther, Kpangbala-Flomo Cecelia, Broniatowski Raphaël
Ministry of Health and Social Welfare Liberia, Liberia; EPOS Health Management, Germany.
Ministry of Health and Social Welfare Liberia, Liberia.
Midwifery. 2018 Jul;62:77-80. doi: 10.1016/j.midw.2018.02.023. Epub 2018 Mar 3.
Maternal and newborn mortality remains high in Liberia. There is a severe rural-urban gap in accessibility to health care services. A competent midwifery workforce is able to meet the needs of mothers and newborns. Evidence shows that competence can be assured through initial education along with continuous professional development (CPD). In the past, CPD was not regulated and coordinated in Liberia which is cpommon in the African region.
To Support a competent regulated midwifery workforce through continuous professional development.
A new CPD model was developed by the Liberian Board for Nursing and Midwifery. With its establishment, all midwives and nurses are required to undertake CPD programmes consisting of certified training and mentoring in order to renew their practicing license. The new model is being piloted in one county in which regular mentoring visits that include skills training are being conducted combined with the use of mobile learning applications addressing maternity health issues. Quality control of the CPD pilot is assured by the Liberian Board for Nursing and Midwifery. The mentoring visits are conducted on a clinical level but are coordinated on the national and county level.
CPD using mobile learning on smartphones and regular mentoring visits not only improved knowledge and skills of midwives and nurses but also provided a solution to enhance accessibility in rural areas through improved communication and transportation, as well as improved career development of health personnel working in remote areas. Mentors were trained on a national, county, and health facility level in the pilot county with mentoring visits conducted regularly.
The CPD programme of the Liberian Board for Nursing and Midwifery, currently in pilot-testing by various partners, aims to highlight the positive impact of the coordinating role of both the regulatory body and health authorities. Using regular process and programme reviews to improve capacity, knowledge, and skills of health professionals.
利比里亚的孕产妇和新生儿死亡率仍然很高。医疗保健服务的可及性存在严重的城乡差距。一支合格的助产士队伍能够满足母亲和新生儿的需求。有证据表明，通过初始教育以及持续专业发展（CPD）可以确保能力。过去，利比里亚的持续专业发展没有得到规范和协调，这在非洲地区很常见。
通过持续专业发展支持一支合格的、受监管的助产士队伍。
利比里亚护理和助产士委员会制定了一种新的持续专业发展模式。随着该模式的建立，所有助产士和护士都必须参加由认证培训和指导组成的持续专业发展计划，以便更新他们的执业许可证。新模式正在一个县进行试点，在该县进行定期的指导访问，包括技能培训，并结合使用解决孕产妇健康问题的移动学习应用程序。利比里亚护理和助产士委员会确保对持续专业发展试点进行质量控制。指导访问在临床层面进行，但在国家和县级进行协调。
使用智能手机进行移动学习以及定期的指导访问的持续专业发展不仅提高了助产士和护士的知识和技能，还通过改善通信和交通以及改善偏远地区卫生人员的职业发展，为提高农村地区的可及性提供了一个解决方案。在试点县，在国家、县和卫生设施层面培训了指导人员，并定期进行指导访问。
利比里亚护理和助产士委员会的持续专业发展计划目前正由各合作伙伴进行试点测试，旨在突出监管机构和卫生当局协调作用的积极影响。通过定期的过程和计划审查来提高卫生专业人员的能力、知识和技能。
